Healthcare Operations Leadership Role

3 days ago

Manila, National Capital Region, Philippines beBeeOperations Full time

Job Title: Operations Manager - Healthcare Payer Claims Adjudication

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Role Summary:

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Manages a team of professional-level staff members or manages through lower-level supervisors manging healthcare payer claims adjudication processes.

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Works within general policies and management guidance, independently determining approach to managing daily operations.

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Provides guidance and technical advice, becoming actively involved as necessary.

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Leads assigned departments through subordinate leaders, ensuring the highest level of support, technical detail and communications is provided in an efficient and courteous manner to clients.

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Takes lead position in initiating client relationships, determining project scope and making executive presentations.

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Responsibilities:

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- Manages and supervises teams responsible for healthcare payer claims adjudication processes.

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- Develops and implements operational plans to ensure timely and accurate processing of claims.

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- Collaborates with cross-functional teams to achieve business objectives and improve overall performance.

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- Provides guidance and technical expertise to staff members, ensuring they have the necessary tools and resources to perform their duties effectively.

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- Analyzes data and metrics to identify trends and areas for improvement, implementing changes to optimize results.

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Requirements:

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- Typically requires 6-10 years relevant experience.

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- Must be flexible and able to work varied shifts, including night shifts.

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- Includes 3-5 years managerial/leadership experience.

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- Advanced influencing and communication skills.

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- Advanced client service skills and leadership capabilities.

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- Advanced knowledge, understanding and application of project management principles and methodologies.

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Models excellent analytical/problem solving skills.

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Excellent organizational and time management skills.

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Able to develop comprehensive and complex operational and strategic plans.

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